Individual
PATRICIA L TREVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1302 MAIN ST, NIAGARA FALLS, NY 14301-1118
(716) 285-8248
Mailing address
1302 MAIN ST, NIAGARA FALLS, NY 14301-1118
(716) 285-8248
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184009
—
NY
Enumeration date
04/05/2006
Last updated
03/24/2015
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